| NPI | 1366601262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2015-01926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.091454) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-10-21 |